103 LAFAYETTE ST - BUILDING INSPECTION (2) Lt
Commonwealth of Massachusetts C Cat v a,) t
Sheet Metal Permit
Date: . 6 Pern,i[ # b i — boo i
I0c
Estimated Job Cost: S 760� 1 Permit Fee: $
flan, Submitted: YES _ NO flans Reviewed: YES _— NO
13usiness License tt /0 2, 3 Applicant license tl 3 3
Business Intixmation: 7 P-roperty OZvnc�ob 4ace I 'mr • -on:
Name: �I yr ce�-� ��ct r M A
F
Street: a APIC4 Y)14� Street: 16 LAFAV 7'1-1s S-7 G
City/Towllfi- 0aC/�575? Am - OX12(), City/Town: 5ALLPM AAA- 7 y�7
Telephone: C0(7 7(2-6/t S 0 Telephone: 2�- � o Lj
Photo I.D. required/Copy of Photo I.D. attached: YES— NO_
Staff i ooLaI
J-I / NI-1-unrestricted license Mo
J-2/ M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. It. / 2-stories or Ics
Residential: 1-2 family_ Multi-family_ Condu/ Townhouses_ Other
Commercial: Office— Retail Industrial _ Educational
Institutional Other
Square Footage: under 10,000 sq. tt. X_ over 10,000 sq. tt. _ Number of Stories:
Shect metal work to be completed: New Work: _ Renovation:
I I VAC> Metal Watershed Roofing_ Kitchen ExhaUSt System
Metal Chimney/ Vents_ Air Balancing_
Provide detailed description of work to be done:
----- -------
Pro
--- - - - -
�1\1A5 CP
2-0 0(`n
Y
INSURANCE COVERAGE:
I have a current liability Insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes No❑
If you have checked Yes, indica,.tte, tthhe/ape of coverage by checking the appropriate box below:
A liability Insurance policy ILA Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
By checking this box❑,I hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and
accurate to the best of my knowledge and that all sheet metal work and Installations performed under the permit Issued for this application will be
In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Duct Inspection required prior to Insulation installation: YES_NO
Proeresslnsaections
Date Comments
Final Inspection
Date Comments
Type a License:
By_ taster
we _ ❑ Master-Restricted
CiDpTown _
❑Journeyperso" Signature of Licensee
Permit#.
❑ / U 3 3Journeyperson-Restricted License Number: LX�
Foe 3
Check al w.w,v.maSS.JOvhiltl
(^ I
In spaclor 519naturo of Permit Approval
jT 'COMMONWEALTH OF MASSAGHUSETTS,i
PLUMBERS AND GASFITTERS
wa LICENSED AS A JOURNEYMAN PLUIVIB'ER
ISSUES THE ABOVE LICENSE TO
�
VI
N CENT iR �SEAREE k` s
m
PO ' BOX 51566 - `f
Ik BOS;TON MA 02205 1566 =^
5543 5/01%14 }186215
K COMMONWEALTH OF'MASSACHUSETTS
C. SHEET'METAL WORKERS f .
AS,A MASTER-UNRESTRICTED &i ?
ISSUES THE ABOVE LICENSE TO
{ ,....i
I'
f VINCENT R ,'SEARLE.;.
PO B'OX .511566 '
T _ {
N '
BOSTON s
MA' 02205-156
A
10338. 05/26/14 186213. ., ,